
Expert Medication Verification Specialist
3 days ago
Virtual Pharmacist Role
- Verify the accuracy of medications packed into dose-ready sachets using AI-driven tools.
- Cross-check AI-identified medications against prescriptions to ensure correct dosage and format.
- Flag any discrepancies, including missing or duplicate tablets or debris to be removed.
- Highlight patients with missing data for redisplay (black screens).
- Provide feedback on AI performance to improve accuracy and reliability.
Claims Review & Submission:
- Review insurance/government claims prior to submission to ensure accuracy and compliance with payer requirements.
- Verify patient eligibility for financial assistance programs and document submitted to support claim.
- Check all paperwork for completeness and resolve discrepancies in documentation.
- Collaborate with the billing team to streamline claims submission processes.
General Duties:
- Facilitate data migration from external systems into dispensing systems during new hospital and nursing home onboarding.
- Validate and reconcile data to ensure accuracy and completeness.
- Collaborate with onboarding teams to ensure seamless integration process.
Processing and Customer Service:
- Process monthly orders by reviewing order placement and entering into dispensing system.
- Respond to first-line customer queries regarding pharmacy services.
Qualifications:
- Active pharmacist license.
- 2+ years of experience in pharmacy operations, claims management, or clinical pharmacy.
- Familiarity with insurance claims, financial aid programs, and medication therapy management.
- Strong understanding of pharmacology, medication identification, and healthcare compliance.
- Proficiency with technology, including AI tools and claims management systems.
- Exceptional attention to detail and analytical skills.
Preferred Skills:
- Experience with medication packaging systems such as sachets or blister packs.
- Knowledge of AI applications in healthcare or pharmacy operations.
- Background in patient financial assistance programs or insurance processes.
Working Conditions:
- Remote work arrangement.
- Variable work schedule with possible evening shifts.
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